<form id="edit-form" class="form-horizontal form-ajax" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="name" class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="name" name="row[name]" value="{$row['name']}" data-rule="required" />
        </div>
    </div>

    <div class="form-group">
        <label for="company" class="control-label col-xs-12 col-sm-2">{:__('Company')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="text" class="form-control" id="company" name="row[company]" value="{$row['company']}" data-rule="required" />
        </div>
    </div>

    <div class="form-group hidden layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>